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NPI Code Detail

MEDICARE: MORGAN PARK HEALTHCARE LLC

MEDICARE: MORGAN PARK HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1609565472
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORGAN PARK HEALTHCARE LLC
Provider Business Mailing Address
First Line : 3531 HOWARD ST STE 1006
Second Line :
City : SKOKIE
State : IL
Zip : 60076-4056
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10935 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-3127
Country : US
Telephone Number : 773-928-2000
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : AHARON SINGER
Credential :
Telephone Number : 773-928-2000
Provider Enumeration Date : 05/05/2023
Last Update Date : 05/08/2023

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